I
Integrated Pharmaceutical Services
3400 Data Drive, Rancho Cordova, Calif. 95670; 916-853-8758;
fax: 916-853-5225
1996 revenues
Total gross revenues$300,000,000
PBM gross revenues$275,000,000
PBM unbundled revenues$15,000,000
PBM Clients
Total125
Employer/group plans with direct service25
Lives Covered
Group Health:
Total12,000,000
Active enrollees10,000,000
through employers35%
through third-party vendors40%
through Medicare/Medicaid25%
Workers Compensation:
Active enrollees25,000
Retail Network
Pharmacy locations45,000
Generic usage
Percentage of prescription volume37%
Staff
Total125
Professionals35
Includes: 30 registered pharmacists
PBM services since: 1994.
Parent: Foundation Health Systems; primary business: HMO/PPO.
Services: Retail pharmacy network, mail-order distribution*, claims processing, online claims processing, concurrent utilization review, disease management, retrospective utilization review, benefit design consulting, formulary management/review, monitoring of physician prescribing practices, patient education.
Formularies offered: Open, closed, restricted/customized.
Pharmacies contracted: Independently owned; retail chains.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim. Volume discounts to employers.
Officers: Michael Cartier, president/CEO; Barry Katz, vp-managed care services; Kevin Nagle, vp-sales/marketing; Dr. James Bonnette, vp/medical director.
Contact: Kevin Nagle.
**Subcontracted.
INTEQ
5445 La Sierra Drive, Suite 400, Dallas, Texas 75231; 800-324-7799;
fax: 214-739-7979
1996 revenues
PBM gross revenues$5,000,000
PBM Clients
Total600
Employer/group plans with direct service150
Lives Covered
Group Health:
Total1,000,000
Active enrollees800,000*
through employers40%
through third-party vendors55%
through Medicare/Medicaid5%
Workers Compensation:
Active enrollees200,000
through employers100%
Retail Network
Pharmacy locations43,000
Mail-order services
Percentage of prescription volume12%
Generic usage
Percentage of prescription volume42%
Staff
Total40
Professionals35
Includes: 2 registered pharmacists
PBM services since: 1993.
Services: Retail pharmacy network, mail-order distribution, claims processing, online claims processing, concurrent utilization review, disease management, retrospective utilization review, benefit design consulting, formulary management/review**, monitoring of physician prescribing practices, patient education.
Formularies offered: Open, closed, restricted/customized.
Pharmacies contracted: Independently owned; retail chains.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim. Volume discounts to employers.
Officers: Andrew Fisk, president; Jerry Hosler, vp-administration/finance; John Teichgraeber, vp-sales/marketing; Patti Carr, vp-pharmacy operations.
Contact: John Teichgraeber.
**Estimate.
***Subcontracted.